• 한국의료질향상학회지
• /
• 제19권2호
• /
• pp.36-46
• /
• 2013

Objectives: The purpose of this study is to find a way to effectively introduce accreditation for ambulatory health care organization by identifying the physicians' attitude for accreditation and characteristics that affect thei r attitude. Methods: A web survey was conducted from February 15 to March 4, 2011 for 183 physicians who work in ambulatory health care organizations throughout the nation. Self-reported questionnaire was used for this study. SPSS WIN(version 12.0) was utilized for statistical analysis. Results: Physician's attitude towards accreditation for ambulatory health care organization was positive(25.7%), moderate(39.3%), and negative(35.0%). Clinics that practice as a group or which treat more patients per day showed more positive attitude(p<0.05). The result of ordinal regression analysis indicates the groups with daily patients over 100 showed 36.3 times more positive attitude than the one under 75(p<0.05). Conclusion: The accreditation for ambulatory health care organization has not been throughly discussed yet. Many physicians did not have knowledge about accreditation. Clinics that see more patients per day had more positive attitude for accreditation. It indicates the cost may play important role in voluntary participation in accreditation.

• 건축역사연구
• /
• 제3권2호
• /
• pp.29-46
• /
• 1994

The KAMYOUNG is the supreme local government office in CHOSEON dynasty. This study aims to propose the new methodology on research of local government office's prototype in CHOSEON dynasty. Especially this study is the zoning plan of the KAMYOUNG in the late CHOSEON dynasty, It is meant to present the first trial that pursue to total frame of local government in CHOSEON dynasty through the new methodology. The 18th century is the transitional era when the system of norm was deconstructed. The institution and organization of the supreme lacal government office(KAMYOUNG) was united nationwidely and at the same time its deconstruction was carried out in the 18th century. The domain of the governer has fixed in the 18th century, though the scale of 街e KAMYOUNG was enlarged. These domain expressed a strong symbolization according to hierarchy in exterior appearance of the traditional architecture. With the entire execution of a local government coming soon, the concerns about the localization have been increased rapidly. Under this time situation, as the discussion centered on the creation or change of the local self-governing community, so the concerns regarding the traditional aspects of a local government office have been increasing. Hower, without the recognition of this history, as the research of these existing historical materials has been progressed, so the misunderstanding is still left. Especially, because the government office of CHOSEON is a Confucian nation thinking much of a hierarchy based on Yae - Jae, the hierarchy of this architecture has a deep correlation with the organization of an office. The method of this study is like following: Firstly, prescribed characteristic of KAMYOUNG tough syudys of hierarchy in a local government system, human and material composition. secondly, as the changing progress of KAMYOUNG is compared and analyzed with organization of an office in the center. So characteristics of KAMYOUNG are abstracted. And finally, from this, the interpretation methodology of KAMYOUNG is revealed, with a deep correlation between specific characters of organization and architectural structurals. And also, with these methodologies, the interpretation method of the local government office and normative frame in CHOSEON dynasty are suggested.

• 농촌지도와개발
• /
• 제4권1호
• /
• pp.231-243
• /
• 1997

Objective of the study was to investigate characteristics and meanings of the agricultural extension work during the period of Japanese $rule(1906{\sim}1945)$ through historical review on the work. The agricultural extension work during the period of Japanese rule was categorized into six patterns such as agricultural extension work by (1) government agricultural administration system, (2) agricultural experiment/research institute, (3) public school, (4) through the movement of rural development(Nong-chon-Jinheung Undong), (5) pro-government private organization, and (6) pure private organization. In conclusion, the characteristics of the extension work were defined; 1) a tool and/or method for colonial rule, 2) non-democratic and top-down extension work by administration, 3) authoritative and coercive work initiated by governmental system, 4) nation wide work of cooperation with public and private organization, 5) extension work focused on production increasing food and industrial materials, and 6) extension work initiated by government system without participation of pure private organization. The meanings of the extension work were reviewed in two ways. Firstly, in macro point of view, the work has negative meaning that was utilized as a tool and/or method for Japanese colonial rule, since the extension work was implemented under the direction of agricultural policy and was also directly related to the policy of Japanese colonial government. Secondly, in micro point of view, the work has significant meaning either negative or positive such as 1) beginning of modernized extension work based on experiment and research, 2) introduction of forcible agricultural extension work, 3) inducement of distrust tendency to agricultural policy and agricultural extension work, 4) establishment of basis in hardware of agricultural extension work, 5) production of experience in software of agricultural extension work, and 6) improvement of recognition toward scientific farming and improvement of level in agricultural techniques.

• Journal of Hospice and Palliative Care
• /
• 제4권2호
• /
• pp.154-160
• /
• 2001

Purpose : This study, as the first year project of setting up a community based management system, was attempted for the cancer patients and their family to improve their quality of life; investigating and managing the cancer patients, educating volunteers and connecting the patients with the volunteers were performed. Method and result : The education of managing cancer patients for the volunteers was done once in lune for 2 days to the 80 volunteers. Questions about education effect, volunteer motivation and so on were made up. The survey showed, generally, education satisfaction level was high and a longer education and an intensive course were needed and was suggested that organizing a volunteer community be needed for the continuous further education and systematic management. As the result, after the public health center and volunteers deliberated, a volunteer community consisting of 4 teams, 28 members was organized, launched in Oct. and operated for the cancer patients and their family. For investigating and enrolling the patients, advertising on a local information paper, recommending of local doctors, publicizing by educating the heads of a subdivision of the city, the heads of a neighborhood association and the people in charge of the related local communities such as women's society, and surveying the community by volunteers were performed and the total, 41 patients were registered. Management of cancer patients was carried out by volunteers in a community and in a nursing school. A regional volunteers' community is composed of 23 members and they have worked 87 times, that is 3.8 times per capita on an average. The content of duties is attending the education (41.1%) the most. A volunteers' community of nursing students composed of 12 members have worked 135 times, that is 11.3 times per capita on an average. The content of duties - consulting with patients and home visiting (37.8 %) were the most and survey for investigating the cancer patients was the second. Conclusion : This study has the meaning that this is the guiding attempt in building a community based management system, and especially the achievement of this study is that a regional society organized a volunteer community for the cancer patients by itself and went into action for the cancer patients and their family. Furthermore, to activate this volunteering, it is necessary to keep managing volunteers and running continuing education or the intensive course of the volunteers. Indeed we should let the patients have good impression on this program through publicity and education for the residents to keep track of more cancer patients. For that, systematic and powerful cooperation of a self-administrative organization is required.

• 헤리티지:역사와 과학
• /
• 제48권2호
• /
• pp.4-29
• /
• 2015

본 글은 어느 특정 동일 집단에 의해 조성된 삼국시대 고분군을 면밀히 분석하여, 고분의 변천과정과 축조집단의 성격을 파악하고자 작성되었다. 울산 약사동 북동유적 삼국시대 목곽묘는 4C 후반에서 6C 초까지 약 150~200년간 지속적으로 조영된 어느 지역 집단의 공동묘역이다. 울산 약사동 북동유적 삼국시대 목곽묘를 분석한 결과, 목곽묘의 규모와 배치관계 그리고 출토유물의 구성 등에서 차이를 보였다. 이러한 특징을 조합하면, 북동유적 목곽묘 축조집단은 총 5개의 계층으로 구분된다. 최상위계층과 상위계층은 목곽의 규모나 매납 유물의 종류와 재질 등으로 볼 때, 목곽묘사회를 이끌어가는 실질적인 지배층, 그리고 중위계층에서 최하계층까지는 대다수를 차지하는 일반민의 신분으로 상정하였다. 그리고 연령(미성인-성인)에 따라 배치관계 및 성격에 있어서 차이를 보였다. 이러한 개인의 신분 및 연령에 따라 사회적(공동체) 기능이나 역할, 성질, 목적 등은 달라지며, 신분이 갖는 의미와 값어치는 사회적 가치와 신념에 따라 결정된다고 볼 수 있다. 한 사회의 구성원들은 공동의 목적과 유대관계를 위해서 계획적이고 조직적인 체계하에서 행동하며, 또한 관습적으로 내려오는 규범(규제) 속에서 조직 자체의 유지 존속을 꾀한다고 볼 수 있다. 그러나 이를 위해서는 조직을 이루고 있는 구성원들 사이의 결합관계가 유기적으로 이루어져야 한다. 이 결합관계는 가장 핵심 요소인 혈연에 기초하여 훨씬 큰 사회공동체 관계를 형성한다고 볼 수 있다.

• 지역사회간호학회지
• /
• 제14권2호
• /
• pp.179-189
• /
• 2003

Objectives: This study described the features of home-bound industrial accident victims and their needs for rehabilitation services. This study was also aimed to find a future direction of development of community rehabilitation programs that are suitable for their needs demands. Methods: This study is a descriptive study, were collected through two phases using structured questionnaire. In the first stage, su were performed via telephone interviews. In the se stage, surveys were performed via home visit Subjects in the first stage included 2203 indu injured victims staying at home, of whom. individuals complaining of post-traumatic complic became the subjects of the second stage. Results: This study showed that the home-bound industrial accident patients were complaining of complications from the injury even after receiving treatment by IACI. However, they were neglecting their health problems without any intervention. Even if they use health care services. the treatment is mainly focused on acute medical care, which may not effective for them. Furthermore, they had unstable employment status and suffered from financial burden for health care costs. The Labor Welfare Organization has established a plan to remove barriers of industrial accident victims in reinstatement, and has been preparing various programs in order to establish an all-embracing service system for industrial accident victims from accident occurrence to reinstatement. However, these rehabilitation services can be truly helpful only when the injured are able to obtain enough information about them. The current restrictive system is also not appropriate for solving health problems of the industrial accident victims. Therefore, it is necessary to develop a plan that can provide industrial accident victims high-quality rehabilitation services so that they can use those services in the community without being dependent on hospitals. This study proposes visit nursing services as a way to provide various health services within community for the industrial accident victims.

• 한국콘텐츠학회논문지
• /
• 제14권2호
• /
• pp.330-342
• /
• 2014

본 연구는 지역아동센터 센터장의 변혁적 리더십이 해당 지역아동센터 종사자들의 교사효능감을 매개로 하여 조직효과성에 미치는 영향을 검증하기 위해 수행되었다. 연구대상은 광주 및 전남 지역의 지역아동센터에 종사하고 있는 생활복지교사로 총 199부가 분석에 사용되었다. 수집된 자료는 SPSS 12.0, AMOS 7.0 프로그램을 사용해 센터장의 변혁적 리더십과 종사자의 교사효능감, 조직효과성 간의 연구모형의 요인분석과 신뢰도 검증, 구조방정식 모형분석을 실시하였다. 연구결과, 사회복지시설과 교육 보육기관에서와 마찬가지로 지역아동센터 종사자들이 인지하는 센터장의 변혁적리더십은 교사효능감과 조직효과성에 모두 유의미하게 직간접적인 영향을 미치는 것으로 나타났다. 이같은 결과를 바탕으로 본 연구에서는 지역아동센터 센터장의 변혁적 리더십 향상을 위한 정책적 지원의 필요성을 제시하였다.

• 대한간호
• /
• 제34권3호
• /
• pp.69-84
• /
• 1995

The purpose of this study was to identify caregivers of the elderly, the pattern of the caregivers' caring behaviors, and the cultural principles of patterns of caring behaviors practiced in a Korean minority community, Yanbian. To clarify these, an ethnographic approach was used. The fieldwork for this study was conducted from Aug. 24, 1993 to May 20, 1994. The informants were 16 natives, age 60 or more, who were members of a large family of three generations. The results of the study are as follows. The caregivers for the elderly were family, kinship and community groups. Family caregivers for the elderly were spouses, sons, daughters-in-law, grandchildren, sons of former wives, sons of former husbands, adopted sons. daughters and sons-in-law. The elderly had caregivers who were part of the kinship group. Three community groups provided care for the elderly. The three community groups were Dokbozo. a formal large organization for the elderly. the same age group as an informal small meeting for the elderly, and other community younger groups. The findings of this study indicated that family caregivers, especially spouses and sons, are the significant others of the elderly, and comminuty groups are better caring groups than kinship relatives. This study identified forty-three different kind of caring behaviors. They were divided into fifteen behavior patterns. These patterns integrated into five categories : soo-bal(¼?¹ß), protecting, respect, support, jung(?×). For physical comfort, soo-bal and protecting were conducted. For the comfort of mind, respect. support, and jung were conducted. The comfort of mind are better than physical comfort for the elderly. Cultural principles of caring behaviors were group membership, reciprocity, and harmony. But there was no hierarchy priciple. And these three principles provide best caring together at the same time. This study provides significant data for nursing research, theory and practice.

• 보건행정학회지
• /
• 제18권4호
• /
• pp.125-147
• /
• 2008

The purpose of this study is to propose the factors affecting collaboration between community nurses and social workers in Korea. Data that is used in this study, were collected from 295 provider respondents by questionnaire, additionally from telephone survey and secondary data review. This study focuses on the working relationship between professionals in the field of health and social care. Based on the literature review, this study proposes a conceptual framework for collaboration between nurses and social workers in community health and social care. The dependent variable in this study is collaboration. It reveals whether or not the inter-professional works and shows the level of collaboration. The independent variables are categorized in: the client characteristics (frailty of client, client-provider relationship); the provider characteristics (specialization, perception of interdependence, perception of the other professional); the organization characteristics (closeness of the other professional, autonomy, on-the-job training, evaluation-reward); and the community characteristics (urbanization, capacity of resources). Major findings are as follows: First, the factors that appear to have the strongest impact on whether or not inter-professional working of respondent sampled are: the perception of other professional; the perception of interdependence; closeness of, the, other professional; and the frailty of client. Secondly, the factors that found to have the most significant effect on level of cooperation are: the perception of, the other professional; on-the-job training; evaluation-reward; and the closeness of the other professional.

• Clinical and Experimental Pediatrics
• /
• 제60권10호
• /
• pp.320-326
• /
• 2017

Purpose: This study aimed to evaluate a pilot project of the Nursing Feeding Center "Posyandu Plus" (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6-36 months at community health centers in Indonesia. Methods: A quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3. Results: LFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ ($0.96{\pm}0.97$) and WAZ ($0.45{\pm}0.72$) increased; BAZ increased ($1.12{\pm}0.93$) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by $0.53{\pm}0.52$, which indicated 57.8% had short stature. Conclusion: The NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.